Royal plus Registration Form

  PERSONAL
* Indicates required field
 *Title:
 *First Name:
  Middle Name:
 *Last Name: *As displayed in passport
 *Gender:
 *Date Of Birth:
  Place Of Birth:
  Marital Status
 *Preferred Communication Address:
  Passport Number:
  Date Of Passport Expiry:
  ID Number:
 *Nationality:
 *E-mail Address:
 *Confirm E-mail Address:

  SECURITY
* Indicates required field  
 *PIN Code:
 *Confirm PIN Code:

  HOME ADDRESS
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  Address Line 1:
  Address Line 2:
  Address Line 3:
  PO Box:
  Zip/Postal Code:
  City:
  State/Province:
  Country:

 BUSINESS ADDRESS
* Indicates required field  
  Address Line 1:
  Address Line 2:
  Address Line 3:
  PO Box:
  Zip/Postal Code:
  City:
  State/Province:
  Country:
  Job Title:
  Department Name:
  Company Name:

 CONTACT NUMBERS
* Indicates required field  
  Home Phone:
  Business Phone:
  Mobile Phone:
  Business Fax:

REFERENCES
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  Reference Code:
  Referring Member No:

  PREFERENCES
* Indicates required field  
  Meal:
  Seat:
  Seat Number:
  Medical Requirements:
  Special Care:
Interests: Art Cinema Food Literature Music Sports Theatre Travel Winter sports
Consents: Receive Emails from Royal Jordanian.
Receive Emails from Royal Jordanian Partners.
Receive Postal Mails from Royal Jordanian.
Receive Postal Mails from Royal Jordanian Partners.
Receive Statements by Email.
Receive Statements by Fax.
 
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